Published online October 2, 2006
PEDIATRICS Vol. 118 No. 4 October 2006, pp. e1284-e1286 (doi:10.1542/10.1542/peds.2006-0779)
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EXPERIENCE & REASON

The Toothbrush: A Rare but Potentially Life-Threatening Cause of Penetrating Oropharyngeal Trauma in Children

Toru Sasaki, MDa, Sayaka Toriumi, MDa, Takahiro Asakage, MDa, Kimitaka Kaga, MDa, Daisuke Yamaguchi, MDb and Naoki Yahagi, MDb

a Departments of Otolaryngology and Head and Neck Surgery
b Emergency and Critical Care Medicine, University of Tokyo, Tokyo, Japan

ABSTRACT

We present the case of a 10-year-old girl with pharyngeal injury caused by a toothbrush, the snapped head of which lodged in her upper oropharyngeal wall. Initial examination of the oral cavity did not reveal bleeding, a foreign body, or a wound. Nasopharyngoscopy showed lodgment of the toothbrush piece in the upper oropharynx, pulsating in synchrony with heartbeats. Computed tomography showed the toothbrush head near the carotid artery. The foreign body was surgically removed without any intraoperative or postoperative complications. The diagnosis and management of oropharyngeal injuries by stick-like foreign bodies, such as a toothbrush or chopsticks, are discussed.

Key Words: toothbrush • foreign body • pharyngeal injury • vagal syncope

Abbreviations: CT, computed tomography

Accepted May 4, 2006.


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